Lannoo E, Colardyn F, Vandekerckhove T, De Deyne C, De Soete G, Jannes C
Department of Neuropsychology, University Gent, Belgium.
Acta Neurochir (Wien). 1998;140(3):245-53. doi: 10.1007/s007010050091.
Neuropsychological test performance and subjective complaints of 85 patients with moderate to severe head injury were investigated at 6 months postinjury. The neuropsychological test battery included 10 measures of attention, memory, mental flexibility, reaction time, visuoconstruction and verbal fluency. Subjective complaints were assessed using a self-report questionnaire subdivided into four subscales (somatic, cognitive, emotional and behavioural). Ratings were obtained for the pre-injury and current status. Thirty-three trauma patients with injuries to other parts of the body than the head were used as controls. For the head injured, relatives also completed the questionnaire. Head injured patients performed significantly below trauma control patients on nearly all test measures. Head injured patients and their relatives reported a significant increase in subjective complaints since the injury on all four subscales, with no differences between patients' and relatives' reports. These changes were also reported by the trauma controls, but they report fewer changes in somatic and cognitive functioning. Exploratory canonical correlation analyses revealed no correlations between any of the four scales of the questionnaire and the test measures, nor for the head injured, the trauma controls, or the relatives, indicating no relevant relationship between subjective complaints and neuropsychological test performance.
对85例中重度颅脑损伤患者在受伤后6个月时的神经心理测试表现和主观症状进行了调查。神经心理测试组包括10项注意力、记忆力、心理灵活性、反应时间、视觉构建和言语流畅性测试。主观症状通过一份自我报告问卷进行评估，该问卷分为四个子量表（躯体、认知、情感和行为）。获取了受伤前和当前状况的评分。33例身体其他部位受伤而非头部受伤的创伤患者作为对照。对于颅脑损伤患者，其亲属也完成了问卷。颅脑损伤患者在几乎所有测试指标上的表现均显著低于创伤对照组患者。颅脑损伤患者及其亲属报告称，自受伤以来，在所有四个子量表上主观症状均显著增加，患者和亲属的报告之间无差异。创伤对照组也报告了这些变化，但他们报告躯体和认知功能方面的变化较少。探索性典型相关分析显示，问卷的四个量表中的任何一个与测试指标之间均无相关性，无论是颅脑损伤患者、创伤对照组还是亲属，这表明主观症状与神经心理测试表现之间不存在相关关系。
